<div class="modal-dialog modal-lg">
    <div class="modal-content" id="modal-content-tpls">
        <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
            <div class="modal-title" id="myModalLabel">
                复核
            </div>
        </div>
        <form id="validForm" method="post" class="form-horizontal layer_msg">
            <input type="hidden" name="PId" id="PId">
            <div class="modal-body">
                <div class="form-group col-sm-12 category">
                    客户基本信息 :
                </div>
                <div class="form-group  col-sm-12">
                    <label class="col-sm-2 control-label">证件类型</label>
                    <div class="col-sm-4">
                        <select class="form-control" data-field="CartType" id="CartType" name="CartType" readonly>
                            <!--动态加载-->
                        </select>
                    </div>
                    <label class="col-sm-2 control-label">证件号码</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CartId" id="CartId" name="CartId" readonly/>
                    </div>
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">客户名称</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="UseName" id="UseName" name="UseName" readonly/>
                    </div>
                    <label class="col-sm-2 control-label">银行卡号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CardNo" id="CardNo" name="CardNo"  readonly/>
                    </div>
                </div>
                <div class="form-group  col-sm-12">
                    <label class="col-sm-2 control-label">联系电话</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="Phone" id="Phone" name="Phone" placeholder="折扣率" readonly/>
                    </div>
                    <label class="col-sm-2 control-label">用户类型</label>
                    <div class="col-sm-4">
                        <select class="form-control" data-field="UserType" id="UserType" name="UserType" readonly>
                            <!--动态加载-->
                        </select>
                    </div>
                </div>
                <div class="form-group  col-sm-12">
                    <label class="col-sm-2 control-label">ABIS号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="ABISCode" id="ABISCode" name="ABISCode" readonly/>
                    </div>
                </div>
                <div class="form-group  col-sm-12" style="clear: both">
                    <label class="col-sm-2 control-label">安装地址</label>
                    <div class="col-sm-10">
                        <input type="text" class="form-control" data-field="InstallAddr" id="InstallAddr" name="InstallAddr" readonly/>
                    </div>
                </div>


                <div class="form-group col-sm-12 category">
                    交易限额 :
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">本行单笔限额</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CusLmtAmt" id="CusLmtAmt" name="CusLmtAmt" readonly />
                    </div>
                    <label class="col-sm-2 control-label">本行日累计限额</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CusLmtAmtDay" id="CusLmtAmtDay" name="CusLmtAmtDay" readonly/>
                    </div>
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">跨行单笔限额</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CusOtherLmtAmt" id="CusOtherLmtAmt" name="CusOtherLmtAmt"  readonly/>
                    </div>
                    <label class="col-sm-2 control-label">跨行日累计限额</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="CusOtherLmtAmtDay" id="CusOtherLmtAmtDay" name="CusOtherLmtAmtDay" readonly/>
                    </div>
                </div>
                <div class="form-group col-sm-12 category">
                    商户信息 :
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">商户名称</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="Merchant_name" id="Merchant_name" name="Merchant_name"  readonly/>
                    </div>
                    <label class="col-sm-2 control-label">商户编号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="Merchant_id" id="Merchant_id" name="Merchant_id" readonly/>
                    </div>
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">工商注册号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="BuserGno" id="BuserGno" name="BuserGno"  readonly/>
                    </div>
                    <label class="col-sm-2 control-label">税务登记号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="TaxerGno" id="TaxerGno" name="TaxerGno" readonly/>
                    </div>
                </div>

                <div class="form-group col-sm-12 category">
                    绑定设备信息 :
                </div>
                <div class="form-group col-sm-12">
                    <label class="col-sm-2 control-label">设备编号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="TermId" id="TermId" name="TermId"  readonly/>
                    </div>
                    <label class="col-sm-2 control-label">密码键盘编号</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="PadId" id="PadId" name="PadId" readonly/>
                    </div>
                </div>

                <div class="form-group col-sm-12 category">
                    其他 :
                </div>
                <div class="form-group  col-sm-12">
                    <label class="col-sm-2 control-label">业务经理姓名</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="ManagerName" id="ManagerName" name="ManagerName"/ readonly>
                    </div>
                    <label class="col-sm-2 control-label">业务经理代码</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="ManagerId" id="ManagerId" name="ManagerId" readonly/>
                    </div>
                </div>

                <div class="form-group  col-sm-12">
                    <label class="col-sm-2 control-label">业务经理电话</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" data-field="ManagerCont" id="ManagerCont" name="ManagerCont" readonly/>
                    </div>
                </div>
            </div>
            <div class="modal-footer" style="clear: both">
                <button id="modal-btn-Confirm" type="submit" class="btn btn-primary">复核</button> <button id="modal-btn-close" type="button" class="btn btn-default" data-dismiss="modal">关闭</button>
            </div>
        </form>
    </div>
</div>
